Individual provider Active NPI

Neiyana Enys Dupervil

  • Behavior Technician
  • Shelton, CT
National Provider Identifier
1104735653
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
099946154 Issued in CT
Practice address
1000 Bridgeport Ave Ste 405
Shelton, CT 06484-4660
Phone
(203) 993-6592
Fax
(475) 203-3328
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 099946154 CT Primary

Addresses

Primary practice location

1000 Bridgeport Ave Ste 405
Shelton, CT 06484-4660

Mailing address

62 Old Hollow Rd
Trumbull, CT 06611-5523
Phone (475) 988-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104735653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 OLD HOLLOW RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115523",
            "telephone_number": "475-988-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRIDGEPORT AVE STE 405",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844660",
            "telephone_number": "203-993-6592",
            "fax_number": "475-203-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPERVIL",
        "first_name": "NEIYANA",
        "middle_name": "ENYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CT",
            "license": "099946154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.